Which was a duty performed by district nurses in Liverpool, England, in 1865?
- A. Use epidemiologic knowledge and methods
- B. Encourage community organization
- C. Report facts to and ask questions of physicians
- D. Assist physicians with surgery in the newly constructed hospitals
- F. Identifying potential negative outcomes due to exposure to the toxic chemicals
Correct Answer: C
Rationale: The correct answer is C. District nurses in Liverpool in 1865 reported facts to and asked questions of physicians. This duty was crucial for proper patient care as it ensured that physicians were informed about the patient's condition and could provide appropriate treatment. Other choices are incorrect because: A) Epidemiologic knowledge and methods were not commonly used by district nurses at that time. B) Encouraging community organization was not a primary duty of district nurses. D) District nurses did not typically assist physicians with surgery. F) Identifying potential negative outcomes due to exposure to toxic chemicals was not a common duty of district nurses in 1865 Liverpool.
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Which of the following is the best way to increase the number of persons who come to their screening test appointments?
- A. Reminding clients via telephone, e-mail, or mail
- B. Emphasizing long life and happy family when conditions are caught early and treated successfully
- C. Pointing out how inexpensive and convenient screening tests are
- D. Stressing the dangerousness of the condition if not caught early
Correct Answer: A
Rationale: The correct answer is A: Reminding clients via telephone, e-mail, or mail. This is the best way to increase attendance as it utilizes multiple communication channels to ensure clients are aware of their appointments. Reminders help reduce no-show rates by keeping the appointment fresh in their minds. Option B focuses on the benefits of early detection but does not address the issue of attendance directly. Option C emphasizes cost and convenience, but these factors may not be the primary motivators for attending appointments. Option D uses fear tactics, which may not be effective for all individuals and could lead to avoidance. Overall, option A is the most practical and effective method to increase attendance at screening test appointments.
Public health nursing is distinguished from other specialties by adherence to eightprinciples. Which are domains of public health nursing practice? (Select all that apply.)
- A. Intuitive assessment skills
- B. Community organization skills
- C. Communication skills
- D. Cultural competency skills
Correct Answer: B
Rationale: The correct answer is B: Community organization skills. Public health nursing involves working with communities to promote health and prevent diseases. Community organization skills are essential for collaborating with community members, organizations, and stakeholders to develop and implement effective health programs.
A: Intuitive assessment skills - While assessment skills are important in public health nursing, they are not necessarily intuitive. Public health nurses rely on evidence-based assessments rather than intuition.
C: Communication skills - Communication skills are crucial in public health nursing, but they are not specific to this specialty. Most nursing specialties require strong communication skills.
D: Cultural competency skills - While cultural competency is important, it is not a domain specific to public health nursing. Cultural competency is relevant in all areas of nursing practice.
A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?
- A. Remove the plug from the socket by pulling the cord.
- B. Check for a tingling sensation around the cord to ensure the electricity is working.
- C. Cover extension cords with a rug.
- D. Use three-pronged grounded plugs.
Correct Answer: D
Rationale: The correct answer is D: Use three-pronged grounded plugs. This is important because three-pronged grounded plugs help prevent electrical fires by providing a path for excess electricity to safely dissipate, reducing the risk of overheating and sparking. This is crucial in preventing electrical fires.
A: Removing the plug by pulling the cord can damage the cord and increase the risk of electrical hazards.
B: Checking for a tingling sensation is not a reliable method to ensure electricity is working and does not prevent electrical fires.
C: Covering extension cords with a rug can create a fire hazard by trapping heat and increasing the risk of overheating.
E, F, G: No other options were provided.
A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural community that currently lacks access to them. This is an example of which public health intervention?
- A. Surveillance
- B. Outreach
- C. Screening
- D. Case management
Correct Answer: B
Rationale: The correct answer is B: Outreach. Outreach involves actively reaching out to provide services to underserved populations, like bringing vaccinations to a rural community without access. Surveillance (A) involves monitoring health data. Screening (C) is identifying individuals at risk. Case management (D) is coordinating care for individuals. In this scenario, Outreach is the best intervention to address the community's lack of access.
Which action will the public health team take during the Exposure Assessment stage of the EPA's four- step risk assessment following a train derailment resulting in a toxic chemical spill?
- A. Identifying potential negative outcomes due to exposure to the toxic chemicals
- B. Identifying how the amount of exposure relates to the severity of negative health outcomes
- C. Quantifying the extent, frequency, and length of contact of the community with the toxic chemicals
- D. Determining how the toxic chemicals are absorbed, metabolized, and eliminated from the body
Correct Answer: C
Rationale: During the Exposure Assessment stage, the public health team will quantify the extent, frequency, and length of contact of the community with the toxic chemicals. This is crucial for determining the level of risk posed by the exposure. Identifying potential negative outcomes (Choice A) is important but falls under the Hazard Identification stage. Understanding the relationship between exposure amount and health outcomes (Choice B) is part of the Dose-Response Assessment stage. Determining how chemicals interact with the body (Choice D) is covered in the Toxicokinetics stage. Therefore, choice C is correct as it directly addresses the primary focus of the Exposure Assessment stage.
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